Individual provider · Type 1 NPI
Waylon A. Carlisle, PhD
Mental Health Counselor · Brandon, FL
NPI number
1255510707
Active
Practice location
2302 Bell Shoals Rd
Brandon, FL 33511
Mailing address
13309 Walden Sheffield Rd
Dover, FL 33527-5547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | CPY0013010194 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1255510707
Waylon A. Carlisle, PhD's National Provider Identifier is 1255510707, issued on Nov 1, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brandon, FL. The record was last updated on Nov 1, 2007.